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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
July 01, 2023 - A sample process and forms for a committee review are available at the Council on Patient Safety in Women … safety. … Patient and Family Engagement (CUSP Science of Safety)
Discuss risks and benefits of oxytocin use … Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin. … ACOG Patient Safety Checklist Number 5: Scheduling Induction of Labor.
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psnet.ahrq.gov/node/841140/psn-pdf
December 07, 2022 - association-measured-quality-and-future-financial-performance-among-
hospitals-performing
Hospitals that implement quality improvement initiatives improve patient … safety but also incur financial
expenses related to implementation, sustainment, and reporting. … The findings indicate hospitals with lower Patient Safety
Indicator 90 (PSI 90) scores had poorer financial … association-measured-quality-and-future-financial-performance-among-hospitals-performing
https://psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial … relationship-between-occurrence-surgical-complications-and-hospital-finances
https://psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-slides.pptx
September 01, 2022 - Care
The Four Moments of Antibiotic Decision Making
3
Does my patient have an infection that requires … Does my patient understand what to expect and the
followup plan? … Antibiotic Decision Making
4
Does my patient have an infection that requires antibiotics? … Does my patient understand what to expect and the followup plan? … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of cellulitis and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
January 01, 2004 - Patient Safety
Kimberly J. … Committee as a testing ground for a unique voluntary patient safety initiative. … Advances in Patient Safety: Vol. 3
496
Table 1. … Safety
Advances in Patient Safety: Vol. 3
498
alerts are then produced and distributed so that … process team within the subcommittee guides the clinical studies, setting target
thresholds for the indicators
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
June 15, 2003 - expert panel development and/or
agreement on best practice guidelines and appropriate performance indicators … to patient safety is apparent at every level. … Third, the patient safety learning system must link clinical processes to patient
outcomes. … Patient safety: achieving a new standard of care. … Safety culture assessment: a tool
for improving patient safety in healthcare
organizations.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - patient safety culture assessment as a meaningful indication of the safety of patients. … safety indicators (PSIs) for 179 hospitals. … My supervisor/manager overlooks patients safety problems that happen over and over. 71%
Slide 36 … Exploring relationships between patient safety culture and patients’ assessments of hospital care. … The AHRQ Hospital Survey on Patient Safety Culture: a tool to plan and evaluate patient safety programs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - Mitigation Tool
Introduction
Problem Statement
Guidelines summarizing evidence exist to help ensure that patients … In addition, consistent guideline adherence may significantly improve patient safety. … Additionally, all BIM team members should be trained on the science of patient safety (e.g., having viewed … Do staff believe that the guideline is appropriate for their patients?
3. … Applicability to unit patients
Does the guideline apply to the unit’s patients?
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www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
January 01, 2024 - U19HS021093)
Abstract
Purpose
Our center sought to improve patient safety by developing tools for safer … To address these problems,
we developed and ran a patient safety CERT focused on Tools for Optimizing … Preventing such errors is an important priority in patient safety research and practice. … Rockville, MD: Center for the
Advancement of Patient Safety, US Pharmacopeia 2008:10-15.
11. … Detecting adverse events for patient safety research: A review of
current methodologies.
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
December 01, 2017 - Antibiotic Audit Tool
AHRQ Safety Program for Surgery
Introduction
Problem … Purpose of This Tool
This tool will help your safety program team understand how appropriately you … We have attached two versions based on two different antibiotic regimens to illustrate how your safety … to assess antibiotic prophylaxis in a different group of patients. … number of patients to review.
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - Innovation Patient Safety Focus
This innovation is designed to reduce potentially inappropriate prescribing … Based on the client's medication list and clinical indicators, the software identifies five types of … January 18, 2023
Patient Safety Innovations
Pharmacist-led … July 21, 2021
Patient Safety Innovations
Project BOOST … Patient Safety Innovations
Hospital at Home℠ Care Reduces Costs, Readmissions
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psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - The patient had not had any other surgeries. … A recent national profile of patient safety indicators in US hospitals between 1995 and 2000 reported … It is "Is
there a sponge or instrument in the patient?" … A national profile of patient
safety in U.S. hospitals. … Making health care safer: a critical analysis of patient safety practices.
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effectivehealthcare.ahrq.gov/sites/default/files/s13.pdf
October 01, 2007 - ORIGINAL ARTICLE
Methodologic Challenges to Studying Patient Safety and
Comparative Effectiveness
Brian … Strom MD, MPH
Abstract: Studies of patient safety and comparative effectiveness
entail unique methodologic … SPECIAL LOGISTICAL ISSUES
Finally, unique logistical issues arise in the study of
patient safety and … Patient safety studies are another example. … The
appeal of using IT to improve patient safety grows as health
systems computerize, but some of these
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www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training
Title: Improving … Patient Safety in Orthopedic Trauma Surgical Training
Principal Investigator: Donald D. … Safety
Center for Quality Improvement and Patient Safety
Agency for Healthcare Research and Quality … The paradigm struggles to ensure patient safety. … The long-term goal of our work is to improve patient
safety and outcomes by better understanding orthopedic
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www.ahrq.gov/sops/surveys/index.html
January 01, 2025 - The AHRQ Surveys on Patient Safety Culture® (SOPS®) ask healthcare providers and other staff in hospitals … The surveys can be used to raise awareness of and improve patient safety culture in your organization … (1:09) Surveys on Patient Safety Culture Hospital Survey . Medical Office Survey . … Using the Surveys When using any of the SOPS surveys, reference the full name "Surveys on Patient Safety … If you are administering a patient safety culture survey that is based on a SOPS survey or uses items
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
January 01, 2020 - Management Support for Patient Safety 90% 90% 89% 87%
4. … Management Support for Patient Safety
1. … Management Support for Patient Safety
1. … Management Support for Patient Safety
1. … Management Support for Patient Safety
1.
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psnet.ahrq.gov/issue/including-reason-use-prescriptions-sent-pharmacists-scoping-review
March 10, 2021 - Clear communication regarding medication indications can improve patient safety . … safety, but prescribers noted concerns about impacts on workflow and patient privacy. … March 10, 2021
COVID-19 and open notes: a new method to enhance patient safety and trust … and safety of care: a systematic review and meta-analysis. … November 4, 2020
Organisational factors associated with safety climate, patient satisfaction
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017059-wu-final-report-2010.pdf
January 01, 2010 - Characterize provider attitudes and measure provider satisfaction with performance
indicators
4. … Patient Goal
Body Mass Index Patients 18+ BMI recorded in past 24 months
Breast Cancer
Screen … 50+ Patient received flu shot from the most recent
September 1
For each practice, 120 patients age … with their
current methods
Functionality %
Keeping medication lists 53.1%
Monitoring medication safety … Easier
% of
Respondents:
No Change
% of
Respondents:
More Difficult
Monitoring medication safety
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psnet.ahrq.gov/issue/outpatient-cpoe-orders-discontinued-due-erroneous-entry-prospective-survey-prescribers
October 13, 2018 - , for the wrong medication, or were a duplicate order for a medication the patient was already taking … A previous Annual Perspective discussed the impact of CPOE on patient safety. … safety reports: analysis of 2522 medication errors. … Annual Perspective
Technology as a Tool for Improving Patient … Prescription errors related to the use of computerized provider order-entry system for pediatric patients
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psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
February 23, 2022 - The authors recommend additional research into new approaches to protecting patients in paediatric emergency … April 5, 2023
Comparing safety, performance and user perceptions of a patient-specific … December 11, 2024
Safe clinical practice for patients hospitalised in mental health wards … August 24, 2022
A qualitative study of what care workers do to provide patient safety … safety: a realist synthesis.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/2-why-improve/index.html
February 01, 2020 - returning test results and gaps in communication that may have broad implications for clinical quality, safety … indicators, making it good for business as well as for patients. … Relationship quality is a major predictor of patient loyalty; one study found patients reporting the … A systematic review of evidence on the links between patient experience and clinical safety and effectiveness … Mortality among patients with acute myocardial infarction: The influences of patient-centered care and